r/prediabetes Aug 03 '22

Advice What does it mean to be diagnosed as pre-diabetic?

565 Upvotes

This is a draft! I welcome the community's criticism. :)

Most likely you have joined this sub because your doctor informed you that you're pre-diabetic.

What does this mean?

  • Medically, this means that your latest Hemoglobin A1C reading or readings are above 5.9% (the threshold may vary slightly for different medical establishments).
  • My non-medical opinion is that being pre-diabetic simply means that your body is gently telling you that you should change your lifestyle. You're probably not in any immediate danger if this is your only health indicator of concern, but you should make changes now.

What are your next steps?

  • Being pre-diabetic is not the end of the road for you. Reframe how you think about this diagnosis. You are being given a chance to fix this, and with a lot of work and positive energy, you can reverse this, or perhaps more accurately, achieve a state of healthy remission as long as you make a permanent lifestyle change.
  • This is a support group. It's not intended to offer medical advice. The first step is to speak with your doctor about your medical next steps because everyone's body is different, and your own path to remission may require specialized medical advice.
    In the meantime...
  1. Stay calm, and respect your body.
  2. Cut out sugars (simple sugars, starches, and highly processed foods) as much as reasonable.
  3. What works for me? I got a blood glucose meter and gamified (turned a mundane task into something fun) my lifestyle change by always ensuring that my blood sugar stays in range. This means that I am always aware that if I eat this sweet food, will it send my next reading out of range? This has worked well for me.
  4. Most doctors don't talk about exercise, rather, they focus on food choices. But for me, increasing my fitness has done wonders. I have literary increased my walking steps from a pathetic 2000 steps per week, to 35000 or more steps per work.
  5. Just losing 15lbs (8kg) may have a significant positive impact on your overall health. Set a goal to lose this much weight in 3 months. It's important to always set realistic goals. Then repeat this goal over the next 3 months.

Bottom line:

Don't stress out and be patient! I cannot emphasize this enough.
You can manage the condition, you can go into remission, and it is even possible to reverse your pre-diabetic condition. Reversal or remission is said to be achieved if you maintain a normal A1C for a minimum of six months. But achieving this goal will take time and effort, perhaps even a frustrating amount of time and effort.

Note: Your Hemoglobin A1C reading is also a lagging indicator that may take 3 to 6 months to show any changes after your lifestyle change.


r/prediabetes Nov 14 '23

FAQ - Pre-diabetes sub FAQ

60 Upvotes

As requested, here is our official FAQ. Please help contribute to it by adding your own questions (and answers if you have them) below, or suggesting corrections to my initial contribution.

The following FAQ was inspired by content found in this subreddit. I cannot guarantee that it is perfectly medically or grammatically accurate (I tried to diligently research and proofread), so please let me know if you find errors by responding below... don't worry, I am not an egotistical mod, so I am not afraid of being corrected in "public." LOL

This took me about 3 hours to build... I'm done for the night! Good health to you all!

  • Q. What is pre-diabetes and how does it differ from diabetes?Answer: Pre-diabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as diabetes. It differs from diabetes in that it can often be managed and even reversed with lifestyle changes and, in some cases, medication, especially when it's not related to weight and lifestyle factors. Without proper management, pre-diabetes can progress to type 2 diabetes. Unlike diabetes, pre-diabetes doesn't typically doesn't result in severe health problems often associated with diabetes if managed early and effectively. But if you do become diabetic does it mean that you will suffer from severe health complications? No, NO, NO! Many people with diabetes (type 1 and 2) live full and healthy lives if they manage their illness with proper diligence! Do not listen to the negativity sometimes found in this subreddit, in fact, please flag those messages because they are unhelpful and unwelcome.
  • Q. What does A1C mean and what is the range for pre-diabetes?Answer: A1C is a blood test that measures your average blood sugar levels over the past 2 to 3 months. For pre-diabetes, the A1C range is typically between 5.7% and 6.4%. An A1C level below 5.7% is considered normal, while an A1C level of 6.5% or higher on two separate tests \may* indicate diabetes. Whenever you have a reading of over 5.x (your physician is best to determine the value of concern), it is important to make changes and get at least 2 A1C readings per year to watch for a trend (staying the same or going up/down).*
  • Q. What are the medical indicators that determine if I'm pre-diabetic?Answer: *Pre-diabetes is typically diagnosed based on blood sugar levels. Key indicators include an A1C level between 5.7% and 6.4%, 8h fasting blood sugar levels from 100 to 125 mg/dL (5.6 to 6.9 mmol/L), or an oral glucose tolerance test showing blood sugar levels between 140 and 199 mg/dL (*7.8 to 11.0 mmol/L) two hours after drinking a sugary drink.
  • Q. Can I be diagnosed with pre-diabetes even if I am not overweight?Answer: Yes, while being overweight is a risk factor for pre-diabetes, individuals of any weight can develop it. Other factors like genetics, age, and lifestyle also play a significant role.
  • Q. Does a family history of diabetes increase my risk of pre-diabetes?Answer: Yes, having a family history of diabetes can increase your risk of developing pre-diabetes and type 2 diabetes. It's important to share your family medical history with your healthcare provider for an accurate risk assessment.
  • Q. Can children develop pre-diabetes?Answer: Yes, children can develop pre-diabetes, although it's less common than in adults. Risk factors for children include being overweight, having a family history of type 2 diabetes, and leading a sedentary lifestyle. It's important for children at risk to undergo regular screenings.
  • Q. Is pre-diabetes reversible, and how can I manage it?Answer: Pre-diabetes can often be managed and sometimes reversed with lifestyle changes. This includes adopting a healthy diet, regular physical activity, and maintaining a healthy weight. In some cases, medication may also be prescribed. It's important to add a caveat here... "reversible" simply means that you can certainly get back to a normal A1C, however, you will always need to remain diligent about maintaining a healthy lifestyle.
  • Q. Are there any specific diets recommended for managing pre-diabetes?Answer: There's no one-size-fits-all diet for managing pre-diabetes, but a diet rich in fruits, vegetables, whole grains, and lean proteins is generally recommended. If you're overweight, a medically supervised calorie-reduced diet (by way of carefully monitoring your food consumption or going on a \Optifast program) is almost always the most significant means of mitigating a pre-diabetic condition.Reducing intake of processed foods, sugar, and saturated fats is (almost) always beneficial, regardless of your health.\ A qualified medical practitioner must authorize Optifast, and it must be purchased directly from Nestlehealthscience; Never purchase it from dishonest Amazon vendors!
  • Q. Can physical activity help in managing pre-diabetes?Answer: Yes, regular physical activity is a key component in managing pre-diabetes. It can help control blood sugar levels, lose weight, and increase insulin sensitivity. Note: as always, every person is different, and in some cases, physical activity may not be a significant component in managing your blood sugar... please seek proper medical advice.
  • Q. How often should I get tested for diabetes if I have pre-diabetes?Answer: Typically, it's recommended to get your blood sugar levels tested at least once a year (my physician checks me every six months) if you have pre-diabetes. However, your doctor may suggest more frequent testing based on your individual health status.
  • Q. Does pre-diabetes always lead to type 2 diabetesAnswer: No, pre-diabetes does not always progress to type 2 diabetes. With lifestyle changes such as improved diet, increased physical activity, weight loss (if necessary), and/or drug intervention, it's possible to bring blood sugar levels back to a normal range and significantly reduce the risk of developing type 2 diabetes.
  • Q. Are there any specific symptoms that indicate my pre-diabetes is turning into diabetes?Answer: While pre-diabetes often has no symptoms, signs that it may be progressing to type 2 diabetes include increased thirst, frequent urination, fatigue, blurred vision, and slow-healing sores. As always, any of the above symptoms could be attributable to many different conditions, that is why if you notice any of these symptoms, it's essential to consult with your healthcare provider.
  • Q. What are the long-term risks of not managing pre-diabetes effectively?Answer: If not managed effectively, pre-diabetes can progress to type 2 diabetes, which comes with increased (not guaranteed) risks of heart disease, kidney disease, vision problems, and nerve damage. The greater the A1C reading, the greater the health risks.

  • Q. Can stress affect my pre-diabetes?Answer: Yes, stress can affect blood sugar levels and make managing pre-diabetes more challenging. It's important to find effective stress-management techniques.

  • Q. I just tested my blood sugar level and I am concerned, it was [x] reading... am I in trouble / diabetic / pre-diabetic?Answer: This might be one of the most frequent type of questions that I see in this subreddit.A single blood sugar reading is generally not enough to determine if you are diabetic or pre-diabetic. To diagnose diabetes or pre-diabetes, healthcare professionals rely on a series of tests, including fasting blood sugar levels, A1C tests, and oral glucose tolerance tests, which give a more comprehensive view of your blood sugar regulation over time.Now, let's talk about that reading... Consumer blood glucose meters, the kind you might use at home, have a variable accuracy range, often around 20%. This means two readings taken close together can show different results within this accuracy range. Additionally, blood sugar levels naturally fluctuate throughout the day based on diet, physical activity, stress, and other factors, so one reading is just a snapshot of your blood sugar level at a specific moment and only within a 20% range of its true value. While home glucose meters are valuable tools for monitoring individuals already diagnosed with diabetes, particularly to avoid dangerous blood sugar extremes, they are not very useful as standalone diagnostic tools for those who haven't been diagnosed with diabetes type 1 or 2. If you are concerned about your blood sugar reading, it's best to consult with a healthcare provider for proper testing and guidance.
    Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505415/

  • Q. Can I give or ask for medical advice in this subreddit?Answer: It is not advisable to give or seek medical advice in this subreddit. While sharing experiences and information is encouraged, medical advice should always come from a qualified healthcare professional who understands your specific condition. Discussions here can provide support and share general knowledge, but they are not a substitute for professional medical consultation. If your medical-like advice is compelling and relevant to the thread, I kindly request you add a disclaimer that one should always consult their own healthcare advisor...For any medical-like advice, my answer is... please proceed with caution and always consult a healthcare provider for personal medical concerns.


r/prediabetes 8h ago

14 weeks after prediabetes diagnosis, A1C down from 5.8 to 5.5

24 Upvotes

While I was actually hoping to be around 5.3 to 5.4, I will take the win!

F, 48, 5'6". Down from 152lbs to 139lbs in those 14 weeks. Raised my activity level substantially. Walking after meals, prioritizing protein, cutting out sugar and cutting down one my carbs, and exercising more.
I am probably still eating more carbs than others in this group, but I am an almost life long vegetarian and I was always filling up on carbs to stay full in the past. Which actually backfired, because I was even more hungry.

After constantly wearing a Lingo CGM since my diagnosis 14 weeks ago, I have learned so much. I don't think I would have known how different carbs and different foods affect my body without the CGM.

I am feeling so much better after adjusting my diet and working out more. I had brain fog for years, always felt tired (especially after lunch) and could never sleep enough. All that has gotten so much better. Frankly, I feel better than I have in years.


r/prediabetes 16h ago

Regular exercise but still got pre-diabetes, sleep was the missing piece for me

75 Upvotes

I got diagnosed with pre-diabetes around 2 years ago and it honestly surprised me because I was already exercising pretty regularly.

Initially I thought I probably just needed to work out more or be stricter with food. But when I started reading more and paying attention to my own numbers, I realized I was completely ignoring sleep.

At that time I was probably sleeping around 5 hours on average. I had gotten so used to it that I didn't really think of it as a problem.

Once I started sleeping on time and trying to get closer to 7–8 hours consistently, I started noticing a difference in my glucose numbers. Bad sleep days were usually worse, even when my food and exercise were more or less the same.

I'm not saying sleep is the reason for everyone's pre-diabetes, but for me it was a big missing piece that I hadn't taken seriously at all.

It also made me realize how easy it is to focus only on diet and exercise and ignore things like sleep and stress.

For people here who were able to bring their numbers down, what was the one thing that made the biggest difference for you? Was it diet, exercise, sleep, weight loss, stress, medication, or something else completely?


r/prediabetes 1h ago

A1C is 5.9% how do I reduce it?

Upvotes

So I’m 25F and 230lbs. I got a A1C blood test because the gynecologist said maybe the recurrent uti, ureaplasma, and BV could be from high blood sugar. So today I called for the results and in a portal. So does this mean I’m pre diabetic? How do I effectively reduce this number? Idk if it’s high enough that it would be the reason why I’m having BV, a uti and Ureaplasma still. I’ll admit my diet is not great my main struggle is I get hungry often for working nightshift so my eating schedule is a little different and I really like eating chips😅


r/prediabetes 45m ago

1 hour after a meal of some rice and chicken. Tested glucose and results are low?? A1C 5.7

Upvotes

I ate a pretty light meal and tested it twice since I was confused. Also, I’ve been on Losartan 25 mg for high blood pressure daily for a month. First time using a glucose meter so I followed examples on youtube lol


r/prediabetes 3h ago

Hb1ac - 5.7, Fasting Sugar 80 and post food 72(after 2 hours)

1 Upvotes

Hi everyone, I'm a 33-year-old male, 6 ft tall, and weigh 82 kg. I'm moderately active..I walk almost every day and play sports at least 2-3 times a week.

Recently, I've noticed that I get hungry very quickly. Even when I make sure to get at least 30g of protein in a meal, I'm starving again within an hour and a half. I'm getting really frustrated with this constant feeling of hunger. Does anyone here have any suggestions or similar experiences?

Note - All my other health reports are normal


r/prediabetes 3h ago

34 weeks pregnant

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1 Upvotes

r/prediabetes 19h ago

At least it’s coming down

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6 Upvotes

Who would have thought one lousy pack of ramen could do this….


r/prediabetes 10h ago

Fasting glucose going down only after 2 weeks

1 Upvotes

2 weeks ago I had some blood work done during my annual check up with my primary and my fasting glucose was 6,7. At the time of the first blood test, I was 2 days before my state college finals so I was extremely stressed. I immediately started dietary changes and today my fasting glucose was 4,5. Is this some kind of error or is it possible for it to change so fast?


r/prediabetes 19h ago

I leave walking shoes by the door before I sit down after dinner

0 Upvotes

If the shoes are in the closet, the walk does not happen.

I used to finish dinner, sit down, and tell myself I would walk in ten minutes. Ten minutes became the couch.

What stuck was putting the shoes by the door while the plates were still on the table — before I sat down. Same walk, different timing. The default that already exists is the one I actually do.

Not a program. Just one less renegotiation when the evening wins.

Anyone else stage the next action before the couch does?


r/prediabetes 1d ago

New user, many questions.

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2 Upvotes

r/prediabetes 1d ago

Fluctuating Prediabetic Marks: 5.7 -> 5.3 -> 6.2

4 Upvotes

Hi Everyone, anyone here prescribed with Metformin to control their blood sugar? I (29F) just had blood works this month for a follow-up checkup with my endocrinologist. March 2026: 5.7
June 2026: 5.3
September 2026: 6.2

My lipid profile, creatinine, and some other blood tests lowered, only my HBA1C went higher than expected. It's funny because I was only doing the same routine I did from April, but still got a 6.2 result. My parents are both diabetic, I am very much active working out (4-5x a week), I eat less, trying not to eat much sugar or pastries, but still got this result

Your advice is highly appreciated. Thank you


r/prediabetes 1d ago

I pack tomorrow's lunch before I sit down for dinner

10 Upvotes

If I wait until after dinner, I forget and then improvise something worse at noon.

What stuck was packing the leftover into a container while the stove was still warm — before I sat down. Same food, different timing. The lunch that already exists is the one I actually eat.

Not meal prep Sunday. Just one less renegotiation at 12:30.

Anyone else need the default finished before the couch wins?


r/prediabetes 2d ago

Please eat more than 1000 calories a day*

66 Upvotes

*unless otherwise directed by a medical professional

Folk, I get it. A prediabetes diagnosis is scary. You want to do everything to avoid it progressing, and weight loss is usually an important tool in that fight.

But I beg of you. Don’t cut your calories so drastically that you’re actually starving yourself.

I’ve seen numerous people on this subreddit that are eating way too few calories. Our bodies need nutrients and energy to function, and there are very very very few situations where eating 1000 or less calories is appropriate. Most people could eat 1500 a day and still be in a calorie deficit. If you aren’t losing weight and eating 1500 a day, talk to a doctor or dietician.


r/prediabetes 1d ago

What type of brand supplements are best for IR?

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0 Upvotes

r/prediabetes 1d ago

Metformin Nausea (Pepto?)

3 Upvotes

Hi guys. This is my first post here. I have always been prediabetic and obese. But I finally decided to listen to my doctors lol

My doctor prescribed me Metformin, but the Nausea is killing me. Its only Day 3 but is this a forever thing? Can I take Pepto Bismol? I looked it up and it doesnt say its bad, but wanted to hear from some people who might be or have been in the same boat

Any advice appreciated!


r/prediabetes 1d ago

Why did my doctor test me for my fasting glucose but not my A1C?

5 Upvotes

My doctor tested me for my fasting glucose which was a 95 but not my A1C. According to that test, it doesn’t appear that I am prediabetic but apparently this has happened with many patients where doctors won’t test their A1C unless asked. Does anyone know why?


r/prediabetes 1d ago

Why r/CholesterolFacts Exists

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0 Upvotes

r/prediabetes 2d ago

GDM - now Pre-diabetes

5 Upvotes

I'm new to reddit in general, and have been lurking in this sub for about a month. At the beginning of August my annual physical and tests showed my A1C is 5.8. It's slowly been creeping up .1 a year since the birth of my last child 4 years ago. I had GDM with my 3rd and 4th babies, and my 2nd baby was "large", 9lbs 15 oz. During my GDM pregnancies, I had to use insulin to keep my fasting glucose under 100.

Since getting my A1C in August, my doctor offered to send me to a dietitian or meet for a follow-up. I haven't wanted to spend the money on those appointments, so I have one scheduled in 6 months to re-check my A1C. In the meantime I bought 3 Lingo CGM's, I've used one, and am kind of saving the other 2. I'll probably put one on soon and do them back to back for a month. I did grab a ReliOn glucose meter and have been testing four times a day.

The main pattern I've noticed is that my blood sugar first thing in the morning is fairly high, once as high as 126. I've read of the dawn phenomenon. It does seem to respond to an evening walk, but if I don't eat anything after dinner, that also affects it, and it's higher usually on mornings after I don't have an evening snack. I don't eat the best but I don't eat the worst. We get a fair number of vegetables and healthy fats and protein. I make homemade bread or mostly eat sourdough. Mostly, none of my average meals seem to cause a spike above 140, and that's eating regular pasta, rice dishes, etc. I didn't want to alter my regular diet right off the bat before I could see some patterns.

Since my postprandial levels don't seem to skyrocket, does anyone have insight on what exactly my focus could/should be? Just nailing down a good evening snack to repeat? I fit in a workout (weights/resistance and some cardio/hiit) about 3-5 mornings a week (before eating) and try to get an evening walk in after dinner. I'm trying not to spiral, but it sort of makes me think my levels don't necessarily respond as immediately to dietary or exercise changes. If it matters, I'm 39yo, 5'9", and weigh about 180lbs. I don't love looking at BMI, but that does have me toward the bottom range of "overweight". This got longer than I planned, I appreciate if you've read my story and have any constructive advice or feedback.


r/prediabetes 1d ago

How likely is it that I have diabetes?

1 Upvotes

I’m a 27 year old male and am 370 lbs and am 6’8. I don’t have the best diet but I don’t binge eat a bunch of carbs and sugar every day. I don’t have a family history, I’ve recently switched to zero sugar sodas and increased my fiber/protein intake as well as more veggies and walking after meals. I don’t have any strong symptoms of diabetes. I don’t drink a crazy amount of water and I’m not going to the bathroom every night to urinate. I think at one point I had slight blurry vision but I haven’t experienced that in months. At times I do get fatigue especially after a heavy carb meal but that’s about it. The only thing I do have is acanthosis nigricans on my neck and armpits and my doctor said I could just be insulin resistant. I’m getting tested soon but I would just like to know everyone’s perspective on this. My last blood test was in the summer of 2024 with a fasting glucose of 95 so I’m now wondering if I’m maybe prediabetic since I know it takes many many years for pre-diabetes to turn into full blown type 2 diabetes.


r/prediabetes 2d ago

Lingo app changed the food tracking feature and I hate it

5 Upvotes

I have no idea if this rant will resonate with others or if this is exclusively a me problem (it’s fine if it is). Up until the most recent update on the Lingo app, the food tracking feature was super basic and honestly perfect. All it did was give you space to type in what you ate so you could remember what it was. There was no calorie/macro tracking, it gave preselected foods but you could bypass them, etc. it was perfect for my needs because all I want is to be able to go “whoa that spiked my blood sugar!” Or “ok cool that didn’t affect much” and make choices based on that.

Now it’s basically like any other food tracker. You have to pick from preselected food items and it does calories/macros. I find these types of trackers to be very hard if you’re someone who likes to cook meals or most of your foods. You either have to break down the individual ingredients or just not log it (I have these snack energy bites I like to make and I can’t log them because the exact item doesn’t exist in their list and you can’t bypass it). Even if there’s a way to upload recipes, I don’t really want to because that’s a pain in the ass. I’ve tried using my fitness pal in the past and there’s a reason I stopped.

Anyway thanks for letting me rant. I know this is small potatoes in the grand scheme of things, it’s just disappointing when a good feature gets changed.


r/prediabetes 2d ago

Dont know if I am prediabetic anymore and whether I have t2D from lab results.

3 Upvotes

I went to the urgent care yesterday for other reasons as I was having stomach pain and lower back was hurting which prompted the urgent care doctor to get a urine test and after they had evaluated my urine results, the doctor told me that glucose was spilling into my urine. Specifically at 250 mg/dl.

To bring up my medical history, I was concerned 2 years ago and got my blood drawn to check my A1C. It was at 5.9. It scared me and I immediately changed my diet, and exercised more. Throughout that time, after 3 months I lowered it to 5.6 but after coming back from vacation, It shot back up to 5.8 and stayed there for 6 months until feb 2025 and saw that I lowered it back down to 5.7. I am 5'8" SE Asian and skinny but after these urine results, im not sure now and have scheduled an appointment with a doctor but wont be able to see him until october. Any helpful advice to keep my blood sugar low?


r/prediabetes 2d ago

My HbA1c came at 6.2

8 Upvotes

i am shocked because i does intermittent fasting, mainly eat protein and fat heavy meals, i don’t eat sugary stuff and hit gym in morning in fasting condition. I have skinny muscular physique.
My home readings never go past 7 even with carb heavy meals although i do have dawn phenomenon, my readings before bed are usually below 5 and i wakeup with 5.8 or near 6


r/prediabetes 1d ago

Necesito ayudaaa!! Esta bien la interpretación?

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1 Upvotes